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目的分析阴道超声对围绝经期妇女不规则阴道出血子宫内膜病变的临床价值。方法对100例围绝经期不规则阴道出血患者行阴道超声(TVS)检查，观察其子宫内膜改变，并与相对应的子宫内膜病理结果进行对照分析。结果阴道超声诊断围绝经期妇女不规则阴道出血子宫内膜病变的总符合率为94.2%，其中生理性内膜改变、良性内膜改变、内膜癌及非典型增生的诊断符合率分别为96.1%、94.8%及85%。以子宫内膜的正常厚度(10mm)为预测临界值，经阴道超声诊断围绝经期妇女不规则阴道出血子宫内膜病变的敏感性为88.5%，特异性为66.2%，阳性预测值为83.5%，阴性预测值为89.2%，假阳性为36.5%，假阴性为4.95%。结论阴道超声对围绝经期妇女不规则阴道出血子宫内膜病变具有较高的诊断符合率和临床价值。“,”Objective Analysis of transvaginal ultrasound in perimenopausal women with irregular vaginal bleeding clinical value of endometrial lesionsMethods In 100 cases of climacteric ir egular vaginal bleeding were treated with transvaginal ultrasound (TVS)examination,to observe the change of endometrium,and compared with pathological results cor esponding to the uterine endometrium.Results Transvaginal ultrasound diagnosis of perimenopausal women with irregular vaginal bleeding,endometrial lesions of the total coincidence rate is 94.2%,the physiologic endometrial changes,benign endometria, endometrial carcinoma and atypical hyperplasia of the coincidence rate is 96.1%,94.8%and 85%respectively.In the normal thickness of the endometrium (10mm)for the prediction of the critical value,the transvaginal ultrasound in the diagnosis of perimenopausal women with irregular vaginal bleeding,endometrial lesion sensitivity was 88.5%,specificity was 66.2%,the positive predictive value was 83.5%,the negative predictive value was 89.2%,the false positive rate is 36.5%,false negative 4.95%. Conclusion Clinical value of diagnosis coincidence rate and transvaginal ultrasound in perimenopausal women with ir egular vaginal bleeding,endometrial lesions with high.